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Home My WebLink About3389 LARKSPUR ST - Building PermitsPERMIT TYPE CITY OF COSTA MESA BUILDING D/V/S/ON 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wvnv.ci.costa-mesa.ca.us ELEC JOB ADDRESS: 3389 Vicinity: SCOPE OF WORK: REPLACE FAU_,IN.0 .r„ . . .�;,� �ir; r `=�� _ OWNER: PASCOE,RICHARD��C`�, ,,.. PHONE: f FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: E07-00857 STATUS: ISSUED DATE ISSUED: 10/1612007 ,, , � ... ,ISSUED BY: BJK _` JR�STCM .�; SuitelUnit'-: � � �: , r>. - ,. AGE'AND�INSTALL NEW 90,000 BUT UNIT,AND INSTALL NEW�4 HP A/C UNIT ON SIDE YARD. -- ;`t'' . at. - ;�-�, . �t ' r +' a �� t';i. � _ ' ' s:'i�, � Address: 3389 LARKSPUR.ST':Unit "" _ ,City/State/Zip: ;COSTA�MESA CA ,� r . .� � ' . �� . APPLICANT: SCHNIERER STEVEN;�, , , ',.��Address -� '' Umt - PHONE: 878-612-7050 ;�� - � City/State/zZip �--- � t ,�� ,- °; . ;- .. ' �.; �,;�, CONTRACTOR: ALISO.AIR INC `., :' License;No. ; 526420 ,, A,� . Address: 29736,AVENIDA DE LAS BANDERASUniC.:,-- � � _ . -. ...�-:. ' .� ; : - PHONE: 949-589-2021, � �', City/State: . RANCHO SANTA �MARGARITA,CA - - � , �' ZipCode: 92688:'�� . CELL: � ,'� 1 : :� .. , � � , . . �i, �, -�, . .... _, .., . , .. .,� . � i. _ _ _ _ - . _ r _ f;f ELECTRICAL PERMIT FEES � , , ,,' Electrical Plan Check Fee: $0.00 Electrical Permif Fee: � $78 00 Reinspection Fee � � $0 00 � TOTAL FEES J, , ` $78 00 ' � '� ;?r �i rF� , , . .P, �_ rti..,�; .. � � �� .:��'� ' ': � � NOTICE: The work authorized by this permit shall comply with all applicable handirap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) ; � . . EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. , INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetions and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of [his permit. CODE �. INSPECTION TYPE 1fi16 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roo/ 201 Final Bbck/Retaining Wall 202 203 204 Final Factory Fire Place Final Sign Final Demolition onre iNnnn�s CODEN INSPECTIONTYPE 206 Final Mechaniwl 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 FinalPlanningApproval 222 FinalSite 250 FinalBuilding/Occupancy DATE INTI71AL5 -i—�_+—I--r-'� . �` WORKERS' COMPENSATION DECLARATION: I hereDy aKrm untler penalry of perjury one of the following declarations: ❑ I have and will maintain a certifcate of conseM to self-lnsure for vrorkers' compensation, as providetl for by section 3700 of the LaDor Code, for the performanca of Ihe wvrk for which this permit is issued. . ��qy I have and will maintain wurkers' compensation insurance, as required by `5ec�on 3700 of the Labor Cotle, fa the peRwmance of the wnrk for which this pertnit is issued. My vrorkers' compensation Insurance carrier antl policy number are: /y� Carrief: L' F,�r'�v I' IJtl3a.� (Thissecfionneetlnofbe deleddMapemNisvahre0afonehunOredOdlarS(5f00)orlessJ Policy Number W G Z I(o l 0 3 b Z l SC Q'1 ❑ I certify that in the performance of the work for.which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' wmpensation laws of California, and agree lhat if I shoultl become subject to the workers' compensation provisions of Section 3700 of /th�e�,��por Cod�e, I shall forthwith comply wi[h [hese provisions. l( �Cs. �� l0, Ko � b-7 � AVd��'sSignalure Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,OOOj, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm lhat I am IicenseC untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, antl my license is in full force anC eftecL � Lic. # 3 Z b�i ZQ class tt G� , ,� /O�i(�'O"i Cwlrador's Signalure Dale CONSTRUCTION LENDING AGENCY: ❑ I hereby affum that ihere is a constructbn lentling agency fa the pertormance W tha work fv wfiich ihis permit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lender's Atltlress: OW NER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe (ollowing reason (Sec. 7031.5, Business and Professions CoCe: Any city or county which requires a permit to conslruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or lhat he or she is exempt there(rom antl Ihe basis for the allegetl exemption. Any violation of Section 7037.5 by any appliwnt tor a permit subjects the applicant to a civil penalty of not more than fve hundred dollare ($500).): ❑ I, as ovmer ot the pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, an0 lhe structure is not intended or oHered for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law dces nol apply to an owner of properry who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided thal such improvements are not intendetl or oHeretl for� sale. If, however, lhe building or improvement is sold within one year o( completion, lha owner-builtler vrill have the burden of proving Ihat he or she did not build or improve for purpose of sale.). ❑ I, as ovmer of ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnslmct the prqect (Sec. 7044. Business and Professbns Code: 7he contractors License Law dces not appy to an odmer o( propedy wfio builds or improves thereon, and who contracls for such project with a contracta(s) license pursuant lo the Contractors License Laws.). ❑ I am exempt untler sec. Business and Professions Code for this reason: Owner ID verified by dnver's i. �. ❑ Yes � No Driver's License No. Expires: Venfication o( Ownership by (type of document, i.e. - property tax 6ill or Oeetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certRy that no excavation frve (5) or more fcet in depth in[o wfiich a person is required to descend, will be made in connection vrith work authonzetl by this pertnit, and that no building structure, 5c�(dding, falsework, or Oemolition or disman0ing thereo(, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Calitomia Atlministrative Code). ❑ As ovmer-builder, I will not employ anyone to do work whic� would require a permit fmm the Division of Industrial Sa�ery, as notetl above, unless such person has a permit to do such vrork from the division. Apolicanl§ S9naWre Division of Industnal Safety Pertnit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will the applicant or present or future building occupant neetl to file antl certify a Business Plan for emergency response to release or threatened release o! a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the Calilomia Health and Sa(ery Code requires, with some exceptions, that a Business Plan be filed vrith the Costa Mesa Fire Department by every business which has at any one time tluring a reporled year a quantity of hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard temperaWre and pressure). 2. Does or vnll the applicant or present or future buildinq occupant need to file a registration fortn for awtely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safery Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous matenals equal lo or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at slandartl temperaWre and pressure). 3. Does or vnll [he applicant or presen[ or (uture building occupant need to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Sec[ion 25534 0( the Califomia Health and Safety Code provitles that the Cosla Mesa Fire Department may require ihe preparation, certification and filing wiN the Fire Departmen[ of an RMPP by businesses which are required lo register awtely hazardous malenals with the Fire Department. 4. If an RMPP is presently required, has Section 25534 0( the Cali(omia Health and Sa(ety Cotle been fully complietl with? ❑ Yes ❑ No 5. Does or will the applicant or presen[ or future building occupant require for the work which is the subject o( Ihis applica[ion a permit (or suc� wnslruction or modification from the South Coast Air Qualiy Management District or irom any other air pollution control district or agency? ❑ Yes � No (Section 65850.2 of the Califomia Govemment Code requires that ihe requested information be fumished m applications far non-resiCential builtling permits). 6. Will any part o/ the facility [o be constructed under [his permit be within 1000 feet from [he outer boundanes of a school? ❑ Yes ❑ No (If yes", the facility must meet the requirement of Sections 25534 and 42303 of ihe California Health and Safety Cotle). 7. If a pertnit from the South Coas[ Air Quality Management Distdcl or other air polWtion contml distnct or agency is required for ihe work which is the subject of this application, have all of the disclosures prescnbed by Califomia Heallh antl Safery Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certifcate of compliance from the appropnate air pollution control officer�. � � CERTIFICATE OF COMPLIANCE:.I certify that under penalty of perjury the information given above is wvecL I,agree to comply witti all state.laws and �city ordinances regarding Hazardous Matenals and Emissions. � SignaWre . . Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct I agree to comply wilh all state laws and city ordinances relating to building construction, and authorize representatives o( the City of Cosfa Mesa to enter upon Ihe above-descnbed propetly for inspection puiposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signawre of LeBal Owner(s) Date SignaWre . Da�e .,,,. 305]�a6(3/O)) 7 / nEbrAutbonzMAOVLqn� O �B PERMIT TYPE CITY OF COSTA MESA � BUILD/NG DIVISION 77 FAIR DRNE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax p14) 754'-4856 •�wr.v.ci.costa-mesa. .us ' FOR INSPECTIONS CALL: (714) 754•5626 PERMIT NUMBER. M07-00507 MECH JOB ADDRESS: 3389 Vicinity: � SIDE YARD SQ. FT: 0 SCOPE OF WORK: SIDE YARD. STATUS: " DATE ISSUED: x F .'; JSSUED BY: , „, -- S ",:. ! __`:_,_. �RKSPUR ST CM `,-�; Suite/Unit - `-. �� ; _. a'�:� < , �.`'. - � _.,. , • ,. , .:3x :.�.. �, . - - �- :+ - . r : '�.,_:r •., �': ,- .,: ... , { �.� f " '- .._r..,�.. " , _... . ..r ISSUED 10/16/2007 BJK I� I'FAU:IN�GARAGE�-AND INSTALL NEW 90,000 BUT�UNIT�AND:INSTA6L NEW 4 HP A/C UNIT ON .V :'./ 'i�'' F_ • J^ - {'O:i� 'A�. n`:�r � ,Rs: `y5�,., 4 � � - �':' ` . " .: ` ... OWNER: PASCOE, RICHARD'L� _ 'Address . �;3389 L'ARK$PUR ST -Unit :��' � PHONE: ' ' .- -� " �City/State2ip.�* �;��,COSTA�,MESA CA�. "- APPLICANT: SCHNIERER STEVEN> �:.:,-� ' � Address: � Umt'�'.-' �"� � � PHONE: 818-612-7050 �. `- � - City/State/zZip: `� � . . ' ' . ', . . � Address: 29736 AAIR INC >��` -� �„-' � "':" ' =:License No. �� 526420 '' �� • :ti,. CONTRACTOR. ALISO , VENIDA DE`IAS BANDERASUmL � -- �- PHONE: 949 589-2021 � City/State: RANCHO SANTA MARGARITA; CA - ZipCode: 92668 �`..: - t� `4� � ' CELL: , ' - _ .' ' � � j , - _- � - � (�. , - ' . ' � . 'r - ;ar .,.� � .. . . , , . . . �=� .o j �� MECHANICAL PERMITFEE SUMMARY � MECH ITEM FEE: .. $65.45 ., PLAN CHECK FEE: � - ' � $0.00: � �� INVESTIGATIONFEE: �- 5000. � ' � �- � - � REINSPECTION FEE: °-' � ` "$0 00 � �� , . � _.. , TOTAL FEES: $65.45 =' � a ' t � � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1. 12-21-92) � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CO�E�. INSPECTONTYPE � �ATE � INTITIRLS ' COUEN INSPECTIONTYPE - ATE �IN�TI71p5 . 1616 Fized System Final Fire Prevention � 206 Final Mechanical ��P �� O% PjnC /�,y�y 1266 Pool Spa Final 20B Final Plumhing �-• o 20o Final Re-Roo/ 210 Final Electrical 201 Final Block/Retaining Wall 202 Final Faclory Fire Place 203 Final Sign 204 Flnal Demolition 212 Final Fire Prevention 220 FinalPlanningAppmval 222 Final Site 250 Final Building/Occupancy f - . \ WORKERS' COMPENSATION DECLARATIO I hereby aKrm under penalty of peryury one of the follovnng declaretions: ❑ I have and will maintain a certificate of wnsent to self-Insure (or vrorkers' • compensation, as provided for by section 3700 of the Labor Code, for the peAormance o( the wnrk for which [his permit is issued. . �I have and will maintain workers' compensation insurance, a5 required by an 3700 of the Labor Cotle, fw the peAormance of the v.ork fw which this pertnit is issued. My workers' compensation Insurance carrier and policy number are: Carrier. L. . b�e�v �i�t»c..� (ThisseplonneeErplDe letl/lhepeimlavahxtlafonehuMredNRars(Ef00)orleu) PolicyNumber. WG21(olb-j,jo 7180qi ❑ I certify Nat in the peAormance of lhe vrork for which this permit is issued, I shall not employ any person in any manner 5o as to become subject to the workers' compensation laws o( Califomia, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the L r Cotle, I shall forthwith comply with these provisions. � %O 1 Appbcanfs Signalurc Da e WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF25 ($100,000�, IN AD�ITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . LICENSED CONTRACTORS DECLARATION: I hereby affrm that I am licensed under provisions of Chapter 9(commencing vrith Section 7000) of Division 3 0( the Business and Protessions Code, antl my license is in full force and effect. Lic. # J'�Z(dI ZCJ qass tt Gz� � �� J ^� /O1 ib�Di /� ConVanasSignaWre lfe� CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that there is a constructbn lending agency for the peRormance o( the v.vrk for which lNs pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Adtlress: Sipnawre Da�e OWNER-BUILDER DECLARATIONS: �� I hereby aKrm Ihat under penalry of peryury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor the (ollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit to construct, alter, improve, Gemolish, or repair any sWcture, prior to its issuance, also requiras lha applicant for such pertnit to fle a signed sta�ement ihat he or she is licensed pursuaN to lhe provisions of the Contrectors License Law (Chap[er 9(commencing wiN Section 7000) of Division 3 of the Business ana Protessions Code) or Ihat he or she is exempt lhere(rom and the basis for the alleged exemptioa Any violation of Section 7031.5 by any applicant for a permit subjects the applicaN to a civil penalry of not more than five hundred tlollars ($500).): ❑ I, as ovmer o( the propeAy, or my employees vrith wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or oReretl for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law dces not apply to an owner of property who builds or improves thereon, and who does such work himsel( or herself or through his or her own employees, provided Ihat such impmvements are not inten0ed or oHered for sale. If, however, Ihe building or improvement is sold within one year of wmpletion, lhe ovmer-builtler will have the burden of proving that he or she did not build or improve for purpose of sale.). .-� � . ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to construct Ihe project (Sec. 7044, Business and � Professbns Code: The contractors License Law dces not appty to an ovmer of property who builds or improves thereon, antl who coniracts for such project with a contrecta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Cotle for this reason: !7 - - 1 1 Owner ID verifed by dn li .❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ownership by (type ot document, i.e. - properry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certAy that no excavation frve (5) or more (eet in dep[h into whic� a person is requiretl to tlescentl, will be made in connection with v,�rk aulhorized by this permit, antl lhat no building s[rucNre, scaHdding, falsework, p demolitbn or dismantling thereof, will be more than [hirty-soc (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341. Title 8, Califomia Administrative Cotle). ❑ As ovmer-Duiltler, I vrill not employ anyone lo do work which would require a pertnit from the Division of Industrial Safery, as noted above, unless such person has a permit to do such vrork (rom lhe division. APd��'s SignaWre �a�e Division o( Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or (uture building occupant need lo file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Ves ❑ No (Section 25505 of lhe Califomia Health and Safery Code requires, with some eaceptions, that a Business Plan be �led with the Costa Mesa Fire Depariment by every business which has at any one time during a reported year a quantity o( hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlard temperature and pressure). 2. Does or will the applicant or present or tuture building occupant need to file a regisiration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of [he Calitomia Health and Sa(ely Cotle, with some exceptions, requires regisirelion wi[h the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at slantlard temperaWre and pressure�. 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazaftlous matenal5)? ❑ Yes ❑ No (Section 25534 of the California Health and Sa(ety Code provitles that the Costa Mesa Fire Department may require the preparation, certifcation antl filing with the Fire Department of an RMPP by businesses which are requiretl to register acutety hazardous matenals wi[h the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safery Code been fully complietl vnth7 ❑ Yes � No 5. Does or will [he applicant or present or (uture huilding occupant require for the vrork which is ihe subject of Ihis application a permit for such cOnslruction or motlification (rom the South Coasl Air Qualiry Management DisMct or from any other air pollution control Cistrict or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Code requires that the requested information be fumished m applications fa ran-residential building permits). 6. Will any part of the facility lo 6e wnstructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No Qf'yes", the facility must meet the requirement of Sections 25534 and 42303 of [he Califomia Health antl Safery Code). 7. If a pertni[ from ihe South Coast Air Quality Management DisMcl or o[her air pollution control dis[rict or agency is required (or the work which is [he subject of this application, have all of the disclosures prescnbed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", ariach certifcate of compliance from Ihe appropriate air polWtion control oKcer�. - �� CERTIFICATE OF COMPLIANCE: I certity that untler penalty of perjury lhe infortnation given above is cortect I agree to comply with all state laws�and city ordinances regartling Hazardous Materials and Emissions. � S�gnaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is cortecl I agree to comply vnth all state laws and city ordinances relatinq to buildinq construction, and authonze representalives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. �,r) Signa re o! Legal Ovmer(s) Date Signawre . Date (�! � /O' �W�D7 w5�-as lvo�l . � �. n�aio. numon�ee nov��cam a�� !I ..� ; �, l�- l�e0.C' �iara I-� pu Se p �� ; 9�-> �s 3 .r��; ^ : ! ��Ay j 9�. .� `. W i.. CI'�":i`� J�`f L�� i 1' . Il ._ > i:�1. �'iJ1�: PL:`.?;iJl?�l; !)1ViS!t <?J SU[31}'.C7 TO BLI�G. Ui�l� f. RI:G. r;o�re::�nnirroNs. nFi_r;Ti��. Ok COAREC"C[O^rS SIi,�.Ll_ i,i� APY{:t�VEil 3Y THF °LAVivif�C; C�I1' BY: /)� � ;� _ i,.,Ti=.: ��L Pl � 3g� L�.r1�SPv�- S�-. WS�c. �eSc�� C� -�rna�nooxess: 3389 LARKSPUR OWNEN'S NpME: SUMMERS DAN aooness: 3389 LA{tKSPUR COSTA MESA,CA FBCHIENGINEEP: 5 9 9— 1 � 1 z ADDNE55: ST uxir: ST 92626 NEG.NO.: UNIT: PEflMITTEE: SANDKAMP ROOFING ( 714 ) 542-1792 nooeess: 129 N SULUVAN �SANTA ANA CA 92703 LICENSED CONTNACTO DECLABATION: I hereby alfirm Ihal I am IicenSeU unCer pmvisions ot ChaD�er 9(commencing wii� Section 7000) of DiNsion 3 of Ihe Business and Protessions Code. antl my litense is in tuli force antl effec�. ciTvuc.: 4 643 s'"'Euc.:362896 `"ss 39 yaie: �� D ^ °% � Signature: _ � WOBKEPS' COMPENSATION OECNBFTION: I hereby alfirm Ihat I have a certificato i consenl ro selbinsure or a certilicate of Workers' Compensalion Insurance. or a cenilietl copy ihereol �Sectian 3800. Lab. C). �oucvxo.: 1256300-93 E%P.UA�E: O3IOBI9�I comaaxr: STATE FUND,� �] Cenified caDY is herehy fumished. S�( Cenilied caDY is filed with ihe i[y Buil ' g-Bi ' ion. �e: (l �' �n �_/..� APPlicanL i— E%EMPTIONFNOMWOBHEBS'COMPENSFTIONOFCLABATIOM—(Thrssectionnee0notbec ete0ifihepermi�isforonehuntlretl(3100�arless�. I cetlity iha� in Ihe pedormance ol the work �or which Ihis De�mi� is issuetl. I shall no� ploy any person in any manner 5o as to hecome su�leci to I�e Workers' Compensation Laws of Califomia. Oa�e: SignaWre: NOTICE: II, alter making Ihis tleclaration. yau shoultl Gecome subleci lo I�e Workers' Compensation pmvisions ot ��e La6or Cotle, you mus� lotlhwi�h comply wiih such pmvision5 or ��is permit s�all be OeemeO revoketl. CONSTBUCTION LENOING AGENCY: I hereby a��irm thal ��ere is a conslmciion IenJing aAency for ��e petlormance of I�e work �or w�ich ��is permil is i55ueU �Seclion 3097, Civ. C�. LENOEN: ROUNFSS: OWNEN BUILOEB DECLABRTION: I hereby atlirm t�at 1 am eKempl imm Ihe ConVac�ors' Sia�e License Law br the iollowing reason (Seciian 7031.5 Business antl Pro�essional Code: Fny ci�y ol couniy which requires a permii ro cons�mct, aller, improve, tlemolish, or reDair any simcture. pnor to its issuance. also repuires the applicanl far such permit to file a signetl statement t�at helshe is licensed pursuam to Ihe provisions o� �he Contracmrs' S�aie License Law (C�aD�er 9(commencing wi�� Sec�ion 7000) o� Oivision 3 of Ihe Business anA Pmlessions Catle) or Ihat helshe is exemp� Iherefrom and the basis �or Ihe a�leged exemption. Any viola�ion of Sec�ian 703L5 by any aDDlicant for a permit suUlecis ihe apDlicant to a civil penalty of not more than five hundre0 dollars ($500). I, as owner oi t�e D�operiy or my employees with wages as �heir sole compensa�ion, will tlo ��e work, an0 ihe ❑ simcmre is nol intentled ar aifered for sale (Section 7044, Business an0 Pmiessional Cotle'. The Coniracrors' State License Law Ooes not apply �o an owner o� a pmperiy who 6uiltl5 or impmves ��ereon, antl who tloes such work himsel�/hersel� or Ihmugh his or her own employee5. pmvidetl Ihal such improvemenls are nol intentletl or allered tor sale. I�, however Ihe building or impwvemen� is soltl wiihin ane year oi completion, Ihe owner will have Ihe burtlen oi pmving he/she did nol build ar improve �or �he purpose ol 5ale). I, as own¢r ai Ihe pmperly, am eKCWsively canVac�ing wiih licensetl contracbrs m constmc� Ihe pmlect (Seclion 7044, Business ❑ and Pmfessions Coae: The Contractors' S�ate License Law Ooes not apOry to an owner of pmperty who huilds or imD�oves ihereon antl who contrac�s for such prolecis with a contractor�s�license purSuaN to Ihe GonVac�ors' S�a�e License Law�. I am aware ��a� pmof of Iheir Worker'S Compensa�ion insurance shaultl be pmvided �o me. � I am exempt under Seclion: B. 8 P. C. for ihis reason: Oaie: Owner. I tlo hereDy cenily Iha� I am aware oi antl untlerstantl �he requirement5 of California Health antl Sa�ery Code Seciions 25505, 25533, and 25534 and Iha� I or any �uNre builaing occupani willlwill noi (circle one) neetl �o compty wi�h saitl sta�e cotles antl the requiremen�s for a permil lor tanslmction or modilicalion �mm t�e Air Oualiry Managemen� Oisiricl Residen�ial construc�ion aDPlications are exemD� ��om �hese pmvisions. Date: ApplicanC I hereby reriify Ihall have reatl Ihis applicaiion antl sta�e I�at�he a�ove information is correcl. I agree�o comply with all ciry antl county ortlinance5and5latelawsrelalinglobuildingcon5lmclionanUhere�yaulhorrzerepresenla�iveso ��scirytoen�erupon��eaUove�mentionetl pmperly �/o�r inspet�i0n purpOses. � �a12� �U`�� —� 3 Signa�ure: - �nver's License or Social Securi�y N: � i641-a6 W�ne—Builtling; Green—Cotle Eniorcemen��, Canary—Applicanp Pink—Revanve; Goltlenmtl—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 06372_ PERMIT NO: B 063723 PLAN CHECK NO: N GOVT: N SUPP; N' CONSTRUCTION TYPE: V-M PERMIT TYPE: STR� �-�-�� PURPOSE; ALT JOB DESCRIPTION ; T/OFF RESHT. REROOF W/TIBERLIN SHINGLES SQ FT; 6,120 CLAIM VALUE: 6,120.00 CALC-VALUE: 6,120.00 GROUP OCC; R-3 / COMMENTS• SMOKE DETECTOR RE�UIRED PRIOR TO FINAL *+�+�*�r�e�r�rie��r�r****�r*��***�x�r* �*�e**x�*�r�r�r�r��r�r*�*�r�r*�******�r*�r*��+r**�r�e�r�r�r�*�r*�r�r**��r Z O N I N G R E Q U I R E M E N T S 5 E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING RE • PROV; PARCEL: 91218259 ZNE; REF NO: PLANNING N TES> f �. .i' iE iE k iF iE 3E iE iE iF ff if k ik if.iF if iE iF i! 1f iF 1EikdFif iE �1F 1f iE iF�E iF iE�f iE �F iE �E iF �E iEikiFlE iE iE 1E iE if if 1EiF if if 1! 3f if iE ik 1E jE iE iElE 1F ik iE iE iEiE if 1F iElElE�F iE iF i! D E V E�L O P M E N T S E R V I C E S R E Q U I R E M E N,T S : F_.'�. ZONING APPROVED BY DATE; W BUILDING APPROVED BY • DATE; � APPLICATION ISSUED BY: DATE• S!'3 �"�3 ifiFlF�k�lkiEiEiEifikiEififMiEjFiflEiEiFiFifiF 3fiF�F FiF3Faf��F3i'if'�F7FiF'�FiFiFiflEifiEiEiEiEiEil��FiFihif iE iF 3E iE iE iE if iE 1E iE iEiF iE kiE iE iFiF iE jE 1E 1f iE iE iF iF iE if it iE iE 1E iE if if iF 1f if 1f iE if ik iF iF iF iF 1f if iE iEiE iE iE iF iE �E iE ik if 1E iFiF iE if iF iE �f iE iEif iE iElE 1E iE �EiE iE iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE'•~ SMIP/RES GRADING PERMIT 90.00 PLAN ISSUE FEE BUILDING-DIV-> PERMIT TOTALS----> 90.61 ISSUE PLAN-CHECK 0.00 0.00 ,`, � _ TOTAL ' '� � 90.61 SMIP/NON-RES 90A6D D00 REVENUE DIVISION TOTALS--> COLLECTED: 90.61 OVER-/SHORT: ,00 BLD90P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/T61;� GRADING PLAN-CHECR /: iE iE iE k if !f if if ii1E iEif iklf iE ik iF if if ik �k Ik �k iE iF �E if �E iEif It �E 1f if �EiE if �E iE 1E �E if �)F iF iF 1E 1E if 1E iE iE if 1E 1E iE af iE if 3k if iE if iF if iF if iE iF 3E iE if iE IE iF iF �k iEiF if I N D I V I D U A L F E E H R E A K D O'W N ,1 TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 6120 REROOF HY VALUE RESIDENTIAL NOZONE 1''.00 6,120.00 END OF FEES i . f f �/r O1 00145433-0014593§ TO T DATE: 03/3Dl93 TI11E: �4:53 90.61 � CONSTRUCTION AND'PLANNING� ' ,-. i _ PO�L & SPA � - � � Date Inspector I Date Inspector , APPROVALS Permit # AP,PROVALS Permit # i 1. Temporary Electrical Service or Pole , - 52. Pool & Equipment Location � i 2. Soil Pipe•Undrgrnd. � ' . � 53. Steel Reinforcement - �..Elec�tri�al Conduii,Utility-Undrgrnd.�� ' � - 54. Forms- _4. Electrieal Conduit-Undrgrnd. . i,_ -. - 55. Electrical Bonding ,5r 9ie'el fjeinforcert#entS _ - �. 56. R�ough �Plumbing & Pressure Test . • ,6. ,�i`ectrical UFER_Gin�. . 57. APPROVAL TO COVER-GUNITE ;,; '7. �Footings ` - � . 58. Electrical Conduit-Undrgrnd. � - , r 8. ,Fpundation q` ` 59. G�as Pipe, � Undrgrnd., Test � � 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System � 61. APPROVAL TO"DECK � 7 7. Property Sewer line-& Ho�se Connection 62. ,Backwash & Receptor�Final. ' � � 72. SevJer Cap � ' 63. Fleater & Vent�Final � 73. Roof Drains • � ' 64. PI`umbing Synem - Finzl _ 14. Rough Piumbing" " � � � 65. Electrical-Final� . 75. flough E�ectrical-Conduit 66. Solar System-Finai ,., i 6. Rough Electric W�ring � 67. Fencing & Access Approval 17. Rough Wiring Si�n 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling . 69. POOLlSPA SYSTEMS�FINAL 19. Rough Heating & Air Conditioning `�PIRE DEPT. REnUiREMENT � � ' _ i.r ^�.c:. .< : t-• ;�� 20. tRough Feetory Fireplace i::?i •i��i :. C� �• r:•�� q�ppRObALS�-��Permlt # � �" YC ( I Jtn �[.- v. I; iJ ?� S^)H4 � C,^ �3. -� � . 1 F � . � .� i.i "r. . . .-: � � ^� x �:) 21.�uc�s;irfStruct�rejk. � , , „�,� ., � �_i .. , �70. Uniiergiovpd�Hyd�o :�, 22.�DuCTS�, VeRtil3*ing �x i ,.C�:_ c r ` ' Ca ��71. Product�Pi"pirr'�q O"Ga'� ❑Oil 23. `Gas�P�pe�Rougr &'Test � =�' '. i„ ..�,. ,i :;�, F ;��y, Underground�Flu�; ;d, _ � ' y �, � � . i. `..: r �.. 1 , � , w ._ . . . . 24. tRoo3-Framing� � i ;��H ••�-; . : !� �^ "+� ! .73.'Undergrnd;�Srorage'•ya�k �Gas ❑Oil' 25.Roo�Sheathing '"k- �..;;;�l='q3� �j(,�j� '74.�O�erheadF(ydroi�'�� , � 26. ;T,-BaryCeifing 15tr�twral) & h+jonomat � ?:' � 75. -Drq Chemical 7 -i� : � : � : i'• �r 27. �Frame and Flashi�g'. ;A`� w x,� '' ' 76. FDry Standp,id� '��'.',� x" ��i � � � e� �4 • � l �s ..q•J �J . 4 ` r� . . . r . �78. Lathmg &Sidingc. � r . • � ,, ,, . - r 77.'-FIXED SYSTEM'FINAL r . .. � •29. Insulation • �� ..•. _ .` :'� � , 78.'.FI�RE PREV. FINAL �F :� - r � HEALTH�DEPT.�REQUIREMENT p30. Drywall Nailirtg � �� • � -I� � ' r �,31, Plaster B�Qwn Goat'Y . , � ;.n, � ' � � �� '. ..Z9.' FINAL INSPECTION � `-� m `� 32. rElectrical Power MetieS;Final �'�� -� � �, :� ,80. �F,OOD CERTIPICAT�E ISSUED ,33. Final'Electric�� y; ' �,.'�,`. • � � �� "Not�es: ,.'_� �n� � "� : . I , � , . - � . :34. ,F,inaT'He2jing'� A 6'Conditioning; � � � . ' � - , � � � . , . ; �i� , 35. F'�inal Gas Pip�%Tesi.. '-J 1 %: i I �-i '� . �e .: }� b^ ��.� .. i r . s -i C�-. �..,r 36.'fiOodAr'CenoPY i,�x , s � ,:, � . , _ •'[ . .. '` _' i �: •37.'Finai�Facforyfireplace' ' � l � � ��' � ` . :j . . .. . w ..., _� - �38. Final Plumbing .r'•� �� + . � ' ". • � t U �39. Water.Service�Final � � _ : � i � - ry x -: �` `40. GasService•F�al . -_ � , � I „ J, ,� , 41. Solar pomesticFinal � s � � -•• � . � � .. �-+ � f ,.. :� � •.T � `42. Backflow�preventer ., t ' ' . � .. `�"- � '' . .p � i �. �i - � 43. Backflowarrlg8tion b = 3° .. ,� � '=' x� .: 4��e:`� G � ��44. Landscape Ir�i9atiori SYstem . ti� X .., � • - _; ;ti ..� ` �_ ,> � :45. Sound Aitenuation� � �[� a' - • � � , ` - �=d .+ -� : � , �x �t• -�.�- . � ... � .46; 'Handicap-Reg�lations _' � '� �� " '�C �� ' "� �� 47. FINA.LSTRUCTURE & BUILDING -'� q?I (? ' � .` �,$ • - 48. FINFiL PLAhtNING; ��, " ' - r. .49. E1ecVic Release to Edison � z -, ' �- . � _ i , '50. Gas Release to Southem California�Gas Co i , � � " � , - • � `� �. v 51. CERTIFICATE OF OCCUPA�ICY � ,'- },; , iq;. ;z E , No. Date OWNER GRAIIAM, Sames A. JOBADDRESS 3389 Larksour Str GENERAL CONTRACTOR p�pr/Rldr AP��9 LOT T INSPECTIONS � (soi� GRS -A'ATER ROUGM PLlIM91NG PROP. $WR. LINE � HOUSE CON. � SPFINKLING SYSTEM MISCELLANEOt15 ROOGN ME�TING �N� RIq COMDITIONING TEMPORARV SERVICE Oq POLE ' �UNDERGROl1ND [� POWEN � ROUGN WIRING TRENCHES FORMS STEEL REINF. FLOOR SYSTEM BOND BEAM STE�L REINFORCE SXEATHING FRAME AND FLPSN�NG LATHING - IN OUT PLASTER, BROWN COAT STRUCTURAI, FINRL HEATING. VENT., REFPIG. ANO A.C., FINAL PIUMBING. FINAL AND CAS TEST ELECTRIC, FINAL BUILDING. FINAL , DATE BUILD� SUBCONTRACTOR � -�tn_�F ERMIT N0. 4310Q � Cover � �JI 9. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicapt to Fill in Comp(etely — Use Ink Only BUILDING �2 v �p� S` U� ADDRESS 7�j �� OWNEF '1�%`�S � G' C��1'��\ MAIL ��;E ADDRESS CITV COS�A lV�� NOL _%y CANSTRUCTION LENDEfl BRANCH ADDRESS pA[L � ^d3n-7E,�.—,,.Ol1if�Gy<: r;:�,rr,:t8.5u TION FOR STRUCTURAL PERMIT 3V DAT F EIVED DAT ISSU �- (1-�%. A.P. N�_. N�� BUILO�NG � ADDRESS TRACT OWNER v A� VALUE- BLOCK ARCHITECT TEL E U l.(�,�/ ,��,� $ {-(9 OR ENGINEER FIRE `"� ADDRESS ' 20NE VPE GROUP � APPROVED � CONTRACTOR BV DATE� ADDRESS TEL. �ON NO.OF USE OF NEW CITV NO. PLAPIS BUILDING F STATE � CITY �'ARDS APPROVED YARDSAPPROVEO � LI0.NO. ' LIQNO. MAINBVILDWG ACCESSORV {,y SIZE NO.OF BLDGS. (FROM C/L STREET) L OF LOT NOW ON LOT RONT � FT. — F" Q USE OF ' � �� .�., EXISTING BLDG. S F' � F� Separate permits are required for � �. sioe C� �7C F- p electric, plumbing and heating work. REAR ,� FT. F- W USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET. MAIN & Q MAIN BLDGS. r n )AaE$$, gLOG$ Q �J HAR• # � DATE a� O a%( Z� C.U.P.# APPROVED 7 APPROVE r J C {zl � I hereby acknowledBe that I have read this application and state � ihat the above information Is correct and agree to comply with � all laws requlat)ng builtling construction, and I shell not employ Z eny person in violation of ffie wo�kman's compensation laws ot � xhe State of California. � ' 3 I hereby carttfy t�at I am properly licensetl as e contractor untler 0 SQ. FT. 2he State of California eusiness antl Protessions Cotle, D7vision 3, THE AMOUNT SHOWN UNDER VALUAI Chapter 9, a th such licenses are in full fo e and eftect, or I THE PVRPOSE OF ESTABLISHING A PERMII am exempt rom t�e provisions of the State o allfornia 8usiness VALUATION antl Profess ons Co , Division 3, Chapter 9. GERMIT FeE g � PLAN CHECK $ SlOnatura o . Permittae $ �� TAX $ AuthorizedAgent TOTALPAID $ n m > v m N IS FOR m ONLV: " N m m 0 � U �• . 3512b � COSTA MESA BUILDING-SAFETY DEPARTMENT � 3O1(; p,p. gpX 1200 COSTA MESA, CALIFORNIA 92626 For App/icant to Fill in Completely e�i�DING � � � Larkspur Street OWNER MAIL ADDRESS CITV CANSTFUCfION LENDER BRANCH A�ORE55 ADDRESS CONTRACTOR BL TEL NO. TE TEL. cirr Encino NO� 986-885 STATE CITY uc.No. 1q13ll �IC.NO. B_1 51 Z E � NO. OF BLDGS. OF lOT 6O X LOO � I NOW ON LOT O USE OF EXI5TING BIDG. ' SIZE OF NO. OF NEW BLDG.�:9H% � FOOMS STOFIES 1 EXTERIOR WALL ROOF WOOd GOVERING .StUCCO COVERING Shing],F USE OF BUILDING AND WORK TO BE PERFORMED � PAIO AUG 15-7?_�q�pO01051�- �**15�;.34 m APPLICATION FOR BUILDING �PERMIT RE EIV�D DATERECEIVED DA I55�1 �-2/ -)'L _/ PERbl74.—Flb� A.P. NO. J�J I L BUILDING �� %,r„�D�n ADDRESS ��J�j(s( �� TRACT. //CO LOT/!� 3 BLOCK 20NE � NO.OF PLANS�• VARDSAPPROVED MAIN BUILDING. VAR. # C.U.P.q} APPPOVED I herebv acknowletlea inat I nave reatl this application antl state (..IOLD FOR ; that ffie above information is correct antl.agree to comply with all laws regulating building consttuction, antl 1 shall not employ any Oerson in violation of the workman's compensation laws ot � the State of Califomia. 1 hereby cer[ify that I am properly licensetl as a contractor under SQ' the State of Calitornia Business and Professions Cotle, Divisicn 3, THE MOUN Chaptar 9, antl that such licenses are in f�ll forca antl eftect, or I THE PURPOSE am exempt from the provizions ot theState ot California Business VALUATION and Professions Cotle, Division 3, Chapter 9. SiB�ature o /y�y `( �% A �� J(�a Permittee�i�:/C�6I.��/fliL�:•9�� D. DOWriS g 6,�1 vv Au[horized ABent � �G N � VAWE �� • $ GFiOUP �OATE '2I" /• USE OF NEW �N �� BUILDING � �� VARDSAPPROVED ACCESSORY BUILDING DATE APPROVED FT. & -`n�2 �� m b 0 OWN UNDER VALUATION IS FOR � :STABLISHING A PERMIT FEE ONLV: m ¢ PEFMIT FEE $ � j m , PLAN CHECK $ � E ��J-S c LL TOTAL FEE $ ��